60s正念视频减压疗法对上颈椎损伤患者围手术期焦虑抑郁及生活质量的影响  

Effect of 60-second mindfulness video decompression therapy on perioperative anxiety and depression and quality of life in patients with upper cervical spine injury

作　　者：马英萍[1,2] 李丽萍[1] 韩世萍 李晨美 裴菊红 张莉[3] 豆欣蔓[4] Ma Yingping;Li Liping;Han Shiping;Li Chenmei;Pei Jvhong;Zhangli;Dou Xinman(Second Department of Orthopedics,Lanzhou University Second Hospital,Lanzhou,730030;School of Nursing,Lanzhou University,730000;Department of Orthopedics,Lanzhou University First Hospital,Lanzhou,730000;Department of Nursing,Lanzhou University Second Hospital,Lanzhou,730030,China)

机构地区：[1]兰州大学第二医院骨二科,甘肃兰州730030 [2]兰州大学护理学院,甘肃兰州730000 [3]兰州大学第一医院骨科,甘肃兰州730000 [4]兰州大学第二医院护理部,甘肃兰州730030

出　　处：《现代临床护理》2020年第7期62-67,共6页Modern Clinical Nursing

基　　金：兰州大学第二医院“萃英科技创新”计划项目,项目编号为CY2018-HL13;甘肃省卫生行业科研计划项目,项目编号为GSWSKY-2019-48。

摘　　要：目的探讨60s正念视频减压疗法对上颈椎损伤患者围手术期焦虑、抑郁及生活质量的影响。方法选择2018年1月—2019年6月本科收治的需行手术治疗的80例上颈椎损伤患者,按入院先后顺序进行编号,将奇数组40例安置入住北面病房的患者设为观察组,将偶数组40例安置入住南面病房设为对照组。对照组患者进行常规护理措施和心理护理,观察组在常规护理措施和心理护理的基础上进行60s正念视频减压疗法,于入院第2天进行第1次干预,于手术后第2天、第4天进行干预,共3次。采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)和生活质量(short form 36 questionnaire,SF-36)评分比较两组患者入院当天和干预结束后的焦虑、抑郁、生活质量。结果干预后观察组患者SAS、SDS评分明显低于对照组,两组比较,差异具有统计学意义(P<0.05);生活质量各项评分明显低于对照组,两组比较,差异具有统计学意义(P<0.05)。结论上颈椎损伤患者围手术期行60s正念视频减压疗法有助于降低其焦虑、抑郁水平,提高生活质量,建立疾病康复的信心,且因耗时较短易于实施,值得普及推广。Objective To investigate the effect of 60-second mindfulness video decompression therapy on perioperative anxiety,depression and quality of life in patients with upper cervical spine injury.Methods Eighty patients with upper cervical spine injury who underwent surgery in our department from January 2018 to June 2019 were randomly divided into observation group and control group.The control group underwent routine health care and psychological care.The mindfulness intervention group were managed with the 60-second mindfulness video decompression therapy on the basis of routine care and psychological care.The first intervention was performed on the second day after admission,and the second and fourth day after surgery for three times.The two groups were compared in terms of anxiety,depression and quality of life measured using anxiety self-rating scale(SAS),depression self-rating scale(SDS),quality of life,judging 60-second mindfulness video decompression therapy for perioperative anxiety.Results The SAS and SDS scores of the observation group were significantly lower than those of the control group after 60 seconds mindfulness video decompression therapy(P<0.05).The scores of the two groups were statistically significant(P<0.05).The scores of quality of life were significantly lower(P<0.05).Conclusions For the patients with upper cervical spine injury,60-second mindfulness video decompression therapy in perioperative period can help to alleviate anxiety and depression,improve their quality of life,establish confidence in disease rehabilitation,and it is easy to implement due to short time.It is worth popularizing and promoting.

关 键 词：60s正念视频 上颈椎损伤 焦虑 抑郁 围手术期 

分 类 号：R473.6[医药卫生—护理学]